Social Security Disability Help
Free Disability Case Review

Privacy Policy

At ApplyForDisability.ws, we are committed to protecting online user privacy. This “Privacy Policy” discloses the privacy practices governing our knowing collection, use, and disclosure of information. In order to ensure your privacy, information we collect is used only in the manner and for the purposes described below.

Information Collected

We collect the following information:

name
zip code
email address
phone number
date of birth
general information about your case
short description of your medical impairment

Information Usage

The information provided by you will only be viewed by a participating disability attorney in order to give you a free Social Security Disability case evaluation. We share this information with the attorney so that they can evaluate your potential disability claim. There is no cost for this evaluation.

Opt Out

To get your email or phone number removed from our database after submission please email your name and phone number you wish removed to:
postmaster@applyfordisability.ws
Please make the subject of the email "Opt Out".

Contact Us

To contact us for any reason, please use this mailing address:
applyfordisability.ws
160 W. Camino Real
Unit #684
Boca Raton, FL 33432

Complete the form below to find out if you may be eligible for Social Security Disability (SSD) or Supplemental Security Income (SSI). A disability attorney will call you during normal business hours and give you a Free case review.

Free Disability Evaluation

First Name *

Last Name *

Zip Code *

Phone *

()

Confirm Phone Number: *

()

Date of birth: *

Do you expect to be out of work for at least 12 months? *
YesNo

How many years worked in last 10 years? *

Are you seeing a doctor for your disability? *
YesNo

Are you a Veteran? *
YesNo

Describe disabling medical condition: *

By clicking “Submit”, I hereby consent to receive autodialed and / or pre-recorded phone calls and / or SMS Messages (for which standard rates may apply), from an attorney at the telephone number(s) provided above, even if that phone number is a wireless number and even if you have previously registered that phone number on a “do not call” list. I understand that consent is not a condition of purchase.